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WALMART PHARMACY 10-5169
CAH291306-00 Washoe Barton Medical Clinic DBA: Carson Valley Health
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Covered Entity Details
Entity Name
Washoe Barton Medical Clinic DBA: Carson Valley Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH291306-00
Entity Address
1107 Highway 395 North
GARDNERVILLE, NV 89410-7030
Medicare Provider Number
291306
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Prater, CEO
(775) 782-1586
Contract Pharmacy Representative
Walmart
Christy Martinez, 340B Contract Manager
(303) 725-6719
Signed By Date
1/13/2025
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